Carlos Puentes has relied on using urostomy bags since surviving bladder cancer a few years ago. Then, due to a gap in health care that occurred when his managed care company, Senior Whole Health, left the Capital Region over the winter, the 86-year-old Dominican Republic native found himself removing, rinsing out and reusing the bags. Puentes doesn't speak English, and when SWH left he no longer had a translator to help him navigate the maze of paperwork and phone calls that were needed to keep up delivery of his supplies.